SearchFloridaIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Marcus Jackson

NPI 1336767128 · on the registry since 2020 · sole proprietor

Practice

Address
5615 Shell Rd
Pensacola, FL 32503
Phone
(850) 791-6604

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Sex
Male
Record last updated
2020-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida